[Expediency of long-term anti-angina therapy and physical exercises in patients with angina pectoris and a history of myocardial infarction].
Altogether 105 patients were investigated 1.5-2 mos after myocardial infarction. They were divided into 2 groups: 1) 57 patients on nitrates or anapriline for one year; 2) 48 patients on acetylsalicylic acid (0.25 g/day) and nitrates by strict indications. Patients of the both groups performed physical exercises for one year by the methods developed at the All-Union Cardiology Research Center. The differences between Groups 1 and 2 were statistically insignificant in deaths (3.5 and 4.2%, respectively), recurrent myocardial infarctions (8.8 and 6.3%), CHD exacerbations (12.2 and 20.8%), higher tolerance, performance volume, double product, and threshold oxygen consumption. It was concluded that during a year therapy in patients with myocardial infarction who performed physical exercises, the long-term antianginal therapy chosen on an individual basis had no advantages over low-dose acetylsalicylic acid and a single use of nitrates (according to strict indications).
Bichan
N A
NA
Gol'dberg
G A
GA
D000328:Adult; D000787:Angina Pectoris / Q000188:drug therapy* / Q000209:etiology / Q000534:rehabilitation; D001241:Aspirin / Q000008:administration & dosage*; D005081:Exercise Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D009566:Nitrates / Q000008:administration & dosage*; D011433:Propranolol / Q000008:administration & dosage*; D013997:Time Factors; D014665:Vasodilator Agents / Q000008:administration & dosage*
D009566:Nitrates; D014665:Vasodilator Agents; D011433:Propranolol; D001241:Aspirin
Tselesoobraznost' dlitel'noĭ antianginal'noĭ terapii pri fizicheskikh trenirovkakh u bol'nykh, perenesshikh infarkt miokarda i stradaiushchikh stenokardieĭ.